Part B News Features
Question: Does Medicare allow CPT code 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace [other than for decompression], single intersp... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
CMS seeks to maintain a focus on behavioral health management, debuting a range of new HCPCS codes that, should they become finalized, would add a bevy of new billing opportunities for Part B provider... More
Question: Does Medicare allow CPT code 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace [other than for decompression], single intersp... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
CMS seeks to maintain a focus on behavioral health management, debuting a range of new HCPCS codes that, should they become finalized, would add a bevy of new billing opportunities for Part B provider... More
Tools
Make sure your physicians and qualified health care professionals (QHP) are ready for their crucial role in reporting G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months).
Use this decision tree to illustrate Medicare’s rules for coding prolonged E/M services. Medicare created codes and rules for prolonged services performed by a physician or qualified health care professional (QHP) because it disagrees with portions of the CPT guidelines.
Benchmark of the Week
CMS seeks to maintain a focus on behavioral health management, debuting a range of new HCPCS codes that, should they become finalized, would add a bevy of new billing opportunities for Part B providers come Jan. 1, 2025.
Despite a decrease in the number of claims for critical care services that medical groups billed to Medicare Part B, denial rates have inched up over a recent four-year stretch.

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